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General NPI Number Information
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NPI Number | 1508369687
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Entity Type | Individual
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Provider Name | BROOKE RENAE HUFF PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 1928 ALCOA HWY STE B209
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City | KNOXVILLE
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State | TN
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Zip | 37920-1504
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Country | US
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Telephone | 865-524-2547
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Fax | 865-205-5601
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Provider Business Mailing Address
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Address Line | 1928 ALCOA HWY STE B209
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City | KNOXVILLE
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State | TN
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Zip | 37920-1504
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Country | US
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Telephone | 865-524-2547
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Fax | 865-205-5601
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3567
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License Number State | TN
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